Spontaneous uterine cornual rupture at 26 weeks' gestation in an interstitial heterotopic pregnancy following in vitro fertilization. Issue 5 (16th December 2015)

• Record Type: Journal Article
• Authors: Paradise, Courtney; Carlan, S.J.; Holloman, Conisha
• Is Part Of: Journal of clinical ultrasound. Volume 44:Issue 5(2016:Jun.)
• Page Start: 322
• Page End: 325
• Publication Date: 2015-12-16
• Subjects: heterotopic pregnancy -- twin -- interstitial pregnancy -- uterine rupture -- in vitro fertilization -- salpingectomy -- obstetrics -- ultrasonography; Ultrasonics in medicine -- Periodicals; 616.07543
• DOI: 10.1002/jcu.22322
• Languages: English
• ISSNs: 0091-2751

Abstract

ABSTRACT: Interstitial implantation in a heterotopic pregnancy is extremely rare, and despite currently available diagnostic modalities, early identification of an interstitial ectopic pregnancy remains difficult. This report describes a case of spontaneous cornual rupture at 26 weeks' gestation in a woman with diamniotic dichorionic twins that resulted in live births. The patient had previously undergone laparoscopic bilateral salpingectomy, and the pregnancy was conceived with in vitro fertilization. Interstitial implantation in a heterotopic pregnancy can go unrecognized, resulting in increased maternal and infant morbidity and mortality. © 2015 Wiley Periodicals, Inc. J Clin Ultrasound 44 :322–325, 2016